
| Regimental number | 4133 |
| Religion | Methodist |
| Occupation | Engine driver |
| Address | 87 Union Street, Northcote, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Step-Mother, Mrs E Swindle, 146 Charles Street, Northcote, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 5th Battalion, 13th Reinforcement |
| AWM Embarkation Roll number | 23/22/3 |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A64 Demosthenes on |
| Recommendations (Medals and Awards) |
Military Medal Recommendation date: |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
| Medals |
Military Medal Source: 'Commonwealth Gazette' No. 109 Date: |